| NPI | 1841417995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12680) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-09 |